Individual provider Active NPI

Ruben Perez Polo, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710277413
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9383647 Issued in FL
Practice address
8251 W Broward Blvd
Suite 206
Miami, FL 33126-2051
Phone
(954) 334-3131
Fax
(954) 334-3132
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9383647 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd
Suite 206
Miami, FL 33126-2051

Mailing address

8251 W Broward Blvd
Suite 206
Miami, FL 33126-2051
Phone (954) 334-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516001552 FL Practitioner - Nurse Practitioner 8123306347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9383647FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Nov 3, 2018 Accepting new patients

Locations

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

3233 Palm Ave
Hialeah, FL 33012
Phone (305) 642-0590

442 Washington Ave
Homestead, FL 33030
Phone (305) 245-0200

8608 SW 40th St
Miami, FL 33155
Phone (305) 551-3200

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

5801 Miami Lakes Dr E
Miami Lakes, FL 33014
Phone (305) 821-9115

Interoperability endpoints

  • Direct secure messaging: ruben.perezpolo.p1@direct.mbmg.nextgenshare.com
  • Direct secure messaging: ruben.perez.polo.1@29601.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1710277413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "954-334-3131",
            "fax_number": "954-334-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD",
            "address_2": "SUITE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "954-334-3131",
            "fax_number": "954-334-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ POLO",
        "first_name": "RUBEN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9383647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.